CHAPTER TWO
2.0 Theoretical Framework
Microwave ablation as a recently used treatment paradigm for cancer treatment it is also known to be one of the most promising development in today’s world especially in the field of tumor ablation. Practically, in clinical procedures the microwave generator releases the Electromagnetic waves from the opened slot of the antenna. The electromagnetic microwaves emitted will cause agitation of water molecules within the tissue which results to frictional heating and thereafter cause tissue death by a process call coagulation necrosis. (Caroline J. Simon M. e., 2005)
Liver cancer as it implies, can be treated successfully through surgical procedures by removing the malignant tissues, about 90 percent of
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Blood rich in oxygen flows to the liver through the hepatic artery from the aorta whci makes about 25% of the total blood flow in the liver and the rest 75 percent goes to the liver through the hepatic portal vein which is rich in nutrient coming from the small intestines. Blood leaves the liver via the hepatic vein. (Maini Surita …show more content…
The worldwide incidence is 4 out of 10,000 people (Maini Surita). The liver tumor as explained earlier, will receive the 95 percent of the blood supplies from hepatic artery while the normal cells/tissue receives the remaining 75 percent of blood from the portal vein and others from the hepatic artery.
Thermal Ablation is a method of tumor ablation currently used in practice which causes irreversible injuries in cells when allowed to heat beyond 460c for about 60-80 minutes. Any temperature beyond 105oc will definitely cause the tissues to boil and vaporize or even carbonize thus sabotaging the ablation effort. The ablative therapy is a reliable alternative for cancer treatments especially for patients who are ineligible for surgical procedures. The most common ablative treatments include: Radiofrequency Ablation (RFA), Coagulation Therapy , Ethanol therapy , Microwave Ablation
IV bolus of unfractionated Heparin or Subcutaneous injection of low molecular weight heparin (LMWH) may be used to prevent the formation of new blood clots. Nursing consideration: Require regular monitoring of activated partial thromboplasitn time (aPTT) and needed frequent heparin dose changes (Brunner and Suddarth’s, et al, 2010: 765). Fibrinolytic therapy: This therapy is given to dissolve the thrombus in the artery and restore the blood flow. There are two fibrinolytic drugs which are streptokinase and Recombinant tissue plasminogen activators (r-TPA) which includes Alteplase, reteplase and tenecteplase (Brunner and Suddarth’s, et al, 2010: 772).
Next, they traced the external jugular vein and its tributary veins on the surface of the right side of the neck and head. On the left side where the sternomastoid was cut, the students then located the deeper vessels running alongside the trachea, internal jugular vein, and the common carotid artery. In the abdominal cavity, the groups then exposed and studied the hepatic portal vein and its tributaries. They then identified the tributaries of the post cava, the renal, adrenolumbar, iliolumbar, iliac, and caudal vessels. The arteries of the gonads then came off the abdominal aorta cranial where the spermatic arteries were found.
The liver has a portal vein as well as a hepatic vein. It also has unique exchange blood vessels similar to capillaries, called “sinusoids.” How do these unique structures determine the function of the organ? • The livers main function is to filter and process the blood it receives. The portal vein and hepatic vein then deliver the nutrient rich blood to the capillaries (sinusoids).
Then, antibiotics, surgery, anti-inflammatory agents, or obstetric procedures may regulate hemostasis, mainly in chronic DIC. However, in acute phase of DIC, two categories of treatment are available as follows: treatments that slow the coagulation process and therapies that substitute the coagulation factors and the missing platelets. Heparin also can be used to stop the uncontrolled stimulation of the coagulation cascade due to the antithrombotic properties. Careful monitoring of heparin is required because the heparin can worsen the bleeding. Red blood cell administration, thawed frozen plasma, and platelets transfusion may be use based on the patient
The liver has two main lobes, they are right and left lobes. They run along the side of the
The major treatment for skin cancer is done by removing the abnormal cells, or destroyed, by topical drug therapy.(7) In most cases, the treatment of skin cancer requires only local anesthesia, and can be implemented treat skin cancer on an outpatient basis.(7) Sometimes it may not require, any extra treatment, but if the situation necessitated additional treatment, including potential is freezing, surgical resection, laser treatment for skin cancer, or microscopic surgery.(7) In conclusion, skin cancer is one of the most fatal disease in the world.
Ablation of cardiac tissue using radio frequency catheter: This is to stop abnormal paths of the electrical signal generated in the heart 's natural pacemaker. They are used for these purpose radiofrequency electrodes that are mounted on special catheters that are inserted into the heart through an artery. Reconstructive plastic surgery of heart valves
Liver transplantation, or hepatic section, is a surgical procedure performed to replace a diseased liver or some parts of it with another one taken from healthy donors.23 Liver accounts for approximately 2-3% of the total body weight of adults, and weights almost 1400-1600 grams.24 The unique characteristic that the liver acquires is the ability to regenerate itself, which gives the advantage to perform any necessary sections.24 The first human liver transplant surgery was accomplished on the first of March, 1963, by Dr. Starzl, in Denver, University of Colorado Health Science Center (UCHSC), United States.26 It was the first liver transplantation surgery in the world, performed on three-year old child with a disease called
The independent variable for this experiment was the power of microwave radiation. The dependent variable was the cumulative plant height in centimeters. The constants in this experiment were the microwave, microwave duration, amount of sunlight, type of soil, amount of soil, amount of water, environment (same air quality, temperature, etc.), grass seed, number of grass seeds per cup, number of trials per level of I.V. and cups. The control in this experiment was 0 seconds on 100W. For this experiment, a relatively new and fully functional microwave was used. A total of five repeated trials for each level of I.V. were performed for this experiment.
Aortic valve: This is found in-between the left ventricle and the aorta The left atrium tightens and relaxes which allows for more blood to enter the left ventricle. As the heart muscle tenses and relaxes, it allows for blood to flow into the ventricles, atria and various times. Allowing a full intake and out-take of blood. What is special about the pulmonary artery and vein? Why?
Case Study: 1-4 Microwave Oven Summary White Appliances is household appliances manufacturers, which export their product mainly to Europe and the U.S. Previously the company is considering to expand microwave oven line to Indian market because of the economy booming and the change in the market trend. Therefore, the customer has very little knowledge about using microwave to its most potential, the company want to enter the market and need a marketing plan in order to do so.
Although this procedure is more commonly used nowadays than bypass procedure, there are some risk factors and complications that could arise before, during, and after the
Your child will be given medicine to sleep through this procedure. • If your child is having frequent episodes with symptoms, your child may need a long-term treatment to get rid of the faulty areas of the heart (radiofrequency ablation) and end episodes of SVT. In this procedure: ○ A long, thin tube (catheter) is passed through one of your child’s veins into the heart. ○ Energy directed through the catheter eliminates the areas of the heart that are causing abnormal electric stimulation. HOME CARE
In other words most nutrient absorption takes place in the small intestine. The blood, which has absorbed nutrients, is carried away from the small intestine via the hepatic portal vein and goes to the liver for filtering, removal of toxins, and nutrient processing. After leaving the small intestine it reaches the large intestine, which consists of three parts. In the large intestine some of the food is reabsorbed, while the other foods that cannot go through the villi such as fiber are stored in the large intestine. Fiber helps to keep the food moving through the G.I. tract.
The nerve supply also comes from her celiac plexus innervating the liver mixture of sympathetic and parasympathetic fibers. These ribs reach the liver by the hepatic artery. Liver Physiology The liver performs many functions in the body such as: • Production of bile: The liver excretes bile to the bile duct and thence to the duodenum. Bile is necessary for digestion of food.